TY - JOUR
T1 - A nationwide snapshot study on outcomes one year after surgery for chronic pilonidal sinus disease
AU - PITS collaborative study group
AU - Huurman, Eleonora A.
AU - de Raaff, Christel A.L.
AU - van den Berg, Rosaline
AU - Baart, Sara J.
AU - Wijnhoven, Bas P.L.
AU - Schouten, Ruben
AU - Furnée, Edgar J.B.
AU - Smeenk, Robert M.
AU - Toorenvliet, Boudewijn R.
AU - Moekotte, A.
AU - Nierop, P. M.H.
AU - van Ruler, O.
AU - Vermaas, M.
AU - Ottenhof, S.
AU - Veger, H.
AU - Han-Geurts, I. J.M.
AU - van Oostendorp, J. Y.
AU - Konsten, J.
AU - Schok, T.
AU - Vijgen, G.
AU - Clermonts, S.
AU - Brokx, H.
AU - Diks, J.
AU - van Steensel, L.
AU - van Koeverden, I.
AU - Lettinga, T.
AU - Bronkhorst, M. W.G.A.
AU - Hijmans, R.
N1 - Publisher Copyright:
© 2024 Association of Coloproctology of Great Britain and Ireland.
PY - 2025/1
Y1 - 2025/1
N2 - Aim: Managing pilonidal sinus disease (PSD) remains challenging due to high recurrence rates and morbidity associated with treatment. The aim of this study was to evaluate the outcomes one year after surgical treatment for chronic PSD in the Netherlands.Method: Patients with PSD who underwent surgical treatment between March 1, 2020, and March 1, 2021, at 36 participating hospitals were included in a prospective observational cohort study. For the present study, only patients with chronic PSD were included for analysis. One-year after surgical treatment for PSD, all patients received questionnaires on wound healing, quality of life (QoL), and patient reported experience measures (PREMs). Primary outcome was recurrence rate. Secondary outcomes included QoL and PREMs.Results: Of 681 included patients, 405 patients presented with chronic PSD and underwent surgical treatment. One-year questionnaires were completed by 289 out of 405 patients (71.4%). Patients underwent either excision with secondary wound healing (ESW, n = 73), excision with midline closure (EMC, n = 21), off-midline closure (OMC, n = 17), or a minimally invasive technique (MIT, n = 178). Patient-reported recurrence rates after ESW, EMC, OMC and MIT were 21.5%, 25%, 6.7% and 30.6%, respectively. Pain/discomfort and anxiety/depression were the most frequently reported problems affecting QoL. Patients that underwent OMC were satisfied the most with the care provided.Conclusion: This study demonstrates variation in recurrence rates among surgical procedures for PSD. The highest rates were observed in the MIT and EMC group, while the OMC group exhibited the lowest rate. QoL outcomes differed among the surgical techniques. Patient satisfaction appears highest in the OMC group.
AB - Aim: Managing pilonidal sinus disease (PSD) remains challenging due to high recurrence rates and morbidity associated with treatment. The aim of this study was to evaluate the outcomes one year after surgical treatment for chronic PSD in the Netherlands.Method: Patients with PSD who underwent surgical treatment between March 1, 2020, and March 1, 2021, at 36 participating hospitals were included in a prospective observational cohort study. For the present study, only patients with chronic PSD were included for analysis. One-year after surgical treatment for PSD, all patients received questionnaires on wound healing, quality of life (QoL), and patient reported experience measures (PREMs). Primary outcome was recurrence rate. Secondary outcomes included QoL and PREMs.Results: Of 681 included patients, 405 patients presented with chronic PSD and underwent surgical treatment. One-year questionnaires were completed by 289 out of 405 patients (71.4%). Patients underwent either excision with secondary wound healing (ESW, n = 73), excision with midline closure (EMC, n = 21), off-midline closure (OMC, n = 17), or a minimally invasive technique (MIT, n = 178). Patient-reported recurrence rates after ESW, EMC, OMC and MIT were 21.5%, 25%, 6.7% and 30.6%, respectively. Pain/discomfort and anxiety/depression were the most frequently reported problems affecting QoL. Patients that underwent OMC were satisfied the most with the care provided.Conclusion: This study demonstrates variation in recurrence rates among surgical procedures for PSD. The highest rates were observed in the MIT and EMC group, while the OMC group exhibited the lowest rate. QoL outcomes differed among the surgical techniques. Patient satisfaction appears highest in the OMC group.
KW - excision with midline closure
KW - excision with secondary wound healing
KW - minimally invasive technique
KW - off-midline closure
KW - patient reported experience measures
KW - pilonidal sinus disease
KW - quality of life
KW - recurrence rate
UR - http://www.scopus.com/inward/record.url?scp=85210774199&partnerID=8YFLogxK
U2 - 10.1111/codi.17217
DO - 10.1111/codi.17217
M3 - Article
AN - SCOPUS:85210774199
SN - 1462-8910
VL - 27
JO - Colorectal Disease
JF - Colorectal Disease
IS - 1
M1 - e17217
ER -